Individual provider Active NPI

Kylie D Yanock, OTR/L

  • Occupational Therapist
  • Clearfield, PA
National Provider Identifier
1669497475
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010912 Issued in PA
Practice address
1229 S 2ND St
Clearfield, PA 16830-3305
Phone
(814) 765-0221
Fax
(814) 765-3011
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC010912 PA Primary

Addresses

Primary practice location

1229 S 2ND St
Clearfield, PA 16830-3305

Mailing address

PO Box 84
317 Church Street
Morrisdale, PA 16858-0084
Phone (814) 592-7157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Care Corporation Past Accepting new patients
Be Free Counseling PastSince Jan 25, 2016 Accepting new patients
Clear-Care Corporation Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1669497475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "address_2": "317 CHURCH STREET",
            "city": "MORRISDALE",
            "state": "PA",
            "postal_code": "168580084",
            "telephone_number": "814-592-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S 2ND ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303305",
            "telephone_number": "814-765-0221",
            "fax_number": "814-765-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANOCK",
        "first_name": "KYLIE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.